MARK THOMAS HUSEN

GREEN BAY, WI
NPI1568456598
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI  86-039)
Enumeration Date2005-09-06
Last Update Date2007-07-08
Business Address
Mr. MARK THOMAS HUSEN ATC, LAT
1630 COMMANCHE AVE
GREEN BAY, WI 54313-5753
Phone number: 920-430-4750
Mailing Address
Mr. MARK THOMAS HUSEN ATC, LAT
1630 COMMANCHE AVE
GREEN BAY, WI 54313-5753
Phone number: 920-430-4750
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